Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, 351 95 Växjö, Sweden.
Department of Nursing, Campus Skellefteå, Umeå University, 931 87 Skellefteå, Sweden.
Int J Environ Res Public Health. 2022 Jan 20;19(3):1143. doi: 10.3390/ijerph19031143.
The Palliative Care Self-Efficacy Scale (PCSE) is a valid instrument in English for assessing healthcare professionals' self-efficacy in providing palliative care; it has not been translated into Swedish. The aim of this study was to describe the translation, cultural adaptation, and content-validation process of the PCSE scale. In this study, forward and backward translations, pretesting including an expert panel ( = 7), and cognitive interviewing with possible healthcare professionals (physicians, nurses, and assistant nurses) ( = 10) were performed. Experts in palliative care rated items on a Likert scale based on their understandability, clarity, sensitivity, and relevance. The item-level content validity index (I-CVI) and modified kappa statistics were calculated. Healthcare professionals were interviewed using the think-aloud method. The translation and validation process resulted in the final version of the PCSE scale. The average I-CVI for sensitivity was evaluated and approved. Most of the items were approved for clarity, some items lacked understandability, but a majority of the items were considered relevant. The healthcare professionals agreed that the items in the questionnaire evoked emotions, but were relevant for healthcare professionals. Thus, the Palliative Care Self-Efficacy scale is relevant for assessing healthcare professionals' self-efficacy in palliative care in a Swedish care context. Further research using psychometric tests is required.
《缓和医疗自我效能量表》（PCSE）是一种评估医疗保健专业人员在提供缓和医疗方面自我效能的有效英文工具；尚未被翻译成瑞典语。本研究的目的是描述 PCSE 量表的翻译、文化适应性和内容验证过程。在这项研究中，进行了正向和反向翻译、预测试（包括专家小组（=7））和可能的医疗保健专业人员（医生、护士和助理护士）（=10）的认知访谈。缓和医疗专家根据可理解性、清晰度、敏感性和相关性对项目进行李克特量表评分。计算了项目水平内容效度指数（I-CVI）和修正 Kappa 统计量。使用出声思维法对医疗保健专业人员进行了访谈。翻译和验证过程产生了 PCSE 量表的最终版本。评估并批准了敏感性的平均 I-CVI。大多数项目的清晰度得到了批准，一些项目缺乏可理解性，但大多数项目被认为是相关的。医疗保健专业人员认为问卷中的项目引起了情绪反应，但与医疗保健专业人员相关。因此，《缓和医疗自我效能量表》在评估瑞典护理背景下医疗保健专业人员在缓和医疗方面的自我效能方面是相关的。需要进一步使用心理测量学测试进行研究。
